Robert J Jackson
Neurosurgeon
23961 Calle De La Magdalena 504
Laguna Hills
, California 92653-3616
Robert J Jackson
Neurosurgeon
23961 Calle De La Magdalena 504
Laguna Hills
, California 92653-3616
(949) 380-3344
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Robert J Jackson
- 23961 Calle De La Magdalena 504
- Laguna Hills, CA
- Zip : 92653-3616
- Fax : (949) 380-3344
- Phone : (949) 588-5800
Second Address
- Robert J Jackson
- 23961 Calle De La Magdalena 504
- Laguna Hills, CA
- Zip : 92653-3616
- Fax : (949) 380-3344
- Phone : (949) 588-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | A71112 | CA |
National Provider Identifier
| NPI | 1023003605 |
|---|---|
| Provider Name | Robert J Jackson |
| First Address | Laguna Hills, CA 92653-3616 |
| Second Address | Laguna Hills, CA 92653-3616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 15/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H18175 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.